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Experience Spotlight

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

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Thought Leadership Spotlight

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

What Does a Civil and Criminal Healthcare Fraud Investigation Look Like Today?

October 6, 2016

Bass, Berry & Sims attorney Lisa Rivera will speak at the American Health Lawyers Association Fraud and Compliance Forum. Lisa will speak on Thursday, October 6 from 3:30 p.m. – 4:30 p.m. on the topic of, "What Does a Civil and Criminal Healthcare Fraud Investigation Look Like Today?"

Topics will include:

The focus and consideration of individual liability in corporate healthcare fraud investigations before and after the Yates Memo

Similarities and differences between corporate healthcare investigations and the focus on corporate individual/managers in both the civil and criminal divisions of the US Attorney's Office

Considerations for a civil Assistant United States Attorney (AUSA) when conducting a corporate/individual healthcare fraud and False Claims Act investigation, and coordination with criminal division AUSAs

Considerations for a criminal AUSA when conducting a corporate/individual healthcare fraud criminal investigation, and coordination with the civil division AUSAs

Walk through a sample parallel criminal and civil corporate health care investigation, discussing focus and considerations for both the criminal and civil AUSAs, and challenges that target companies and individuals may encounter

The impact in resolving criminal and civil matters, including what is expected by corporate "cooperation"

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